2016 SurgeryCenter Partnership offer .pdf

DATE -

*************

L/23/L7

ENTRY DATE STATISTICS

*********************

L6-L2/L6

FOR.SSM
MM YY

0L
02
03
04
05
05
07
08
09

16
16
16
16
15
16
L6
15
15
t-0 16
l_L 16
t2 16

LLC
#CLATMS

74

L39
L49
L02
]-44
107
LL7
L29
103
L56
106
l-43

t,469
TOTAL REFT]IIDS-

CI{ARGES

666097.9s
LL61082.70
979337 .L4
].027947.49
L587135.0L
884480.01
899691.39
1097548 .10
950987.98

1t9L778.28
1033986.31
L244065 .94

L2,730, 139.30
2,688 .92

PAYMENTS

AD,JMNTS

201890.l_9302689.8s266L68.Ls222]-28.86208699.45264759.0L223940.86-

9207L3.70970228.231156479.31L086304.60r.091491.8?935829.74863389.38860983 .4753s505.769772L5.60-

283438 .35-

L6797]..44L94228.38134538 . 43 27L2L4.46-

455095 . 35 -

893213.73-

2,741,667.43L0

,746,sLL.74-

EIIDING A/R
8

,L4!,02L.42

8, 036 ,Lt7 .96

7,592,907.64
7 ,3L2,32L.67
'7,599,266,36
'7

,293 ,657 ,62

7 ,096,}Lg .77
7 ,049, 145.05

7,297,912.93

7, 318 ,247 .13

7,762,599.66
?

,842,]-76

.4I

l0:05 AM
01t19t17

As of December 31, 2016

Cash Basls

Dec 31, 16
ASSETS

Cunent AssetE
Checklng/Savlngs

lllank

16,697.46

Total Checklng/Savlngs

16,697.46

Othor Current Assets
304 . Non-resldEnt wh
300.51 . Socurlty Deposlt
200 . Due ftom Members

12,118.00
152,138.00
20.000.00

Total Other Currcnt Assets

184,256.00

Total Cunent Assets
Flxed Assets
300.37 ' Equlpment
300.39 . constructlon
300.55 . Offlce Equlpment
300.56 . Furnlture & Flxtures
300.66 . Arcltect Fees
17000 . Accumulated Depreclatlon

Total Flxed Assets
OthEr Asgets
300.90 . Loan fee
303 , Accum amort.loan fees
300 Start up Gost
300.12 . Health Insurance
300.13 . Buslness lnsurance

300.15. Legal
. Offlce Expense
. Offlce Supplles
. Postage

300.18
300.10
300.22
300.23
300.24
300.29
300.34
300.35
300.44
300.45
300.46
300.47

. Prlntlng
. Medlcal Supplles
. State Reg. Fees

. Intomet Sorvace
.Travel Expense
. Meals & Enlertalment
' AccounUng
. Bank Servlce Charges
.

Janltorlal
300.48.UtlllUes
300.49 . Rent
300.52 . Deffered Prs Opora0ng Cost
300.5'f . Repalrs & Malnlenance

300.57. rcfreshments
300.58 . Leased Employee
300.59 . Surglcal Equlpment
300.60 . Membershlp
300.62 . Pormlts
300.64 . Telephone
300.67 . Management feo
300.7 . Consulung
300.78 . Interest- Othor
300.79 . Malntenance Charge
300.99 . Accum Amortlzatlon€tart up
63400 . Int€rest Expense
300 Start up Cost - Othor

Tohl 300 Start up Cost
Total Other Assets
TOTALASSETS

200,953.46
993,263.32
1,651,940.58
26,154.27
219,946.33
89,064.00
-1,556,472.64
1,423,895.86
10,000.00
-2,976.75
10,129.80
14,321.26
70,96E.56
26,972.64
11,498.16
3,394.79
7,291.23
115,110.88
19,324.00
4,244.75
3,452.87
5,371.48

10,873.U
513.60
7,473.90
9,525.92
360,000.00
35.12
5,019.68
811.64
153,611.00
5,700.13
570.00
349.16
5,896.30
29,458.93

36/,745.48
8,336.23
329.96
-664,665.s8
191,875.00
48,287.00
830,827.33
837.850.56
2,462,699.90
Page

I

l0:05 AM

Balance Sheet

4il19t17

As of December 31, 2016

Cash Basls

Doc 31,

l6

LIABILMES 8 EQUITY
LlablllUes

Cunent Llabllldeg
Accounts Payable
20000 . Accounts Payable

Total Accounts Payabte

other CurrEnt Uabllltles
Accounts payable - contra

fronf

302 . Due
Managem€nt
210 . Llne of Gretl-t. Provldent
200.1 . Dlstrlbutlons Payabls
208 . Due to MEmbers

Total Other Cunent Llabllltles
Total Current Llabllltles

-16,3s0.16
-16,3s0.16

10,350.16
9,213.51
49,500.00
3,500.00
75,000.00
1s3,563.67
137,213.51

Long T€rm Llablllfes

*-t'''e

Total Long Term Llabllltles

Tobl LlablllUes

858,520.23
858,520.23
995,733.74

Equlty

500 .Memberc Capltal
500,0 . Memberc Capltal Contrlbulion
500.05
- contribution

.ID

Total 500.0. Members Capltal Contributlon
Net lncomE

Total Equlty
TOTAL LIABILITIES & EOUITY

1,486,699.40
-15,000.00
-15,000.00

4,733.24
1,466,966.16
2,462,699.90

Page 2

ul-c

10:04 AM

oil19t17

January through December 2016

Cash Basls

Jan - Dec'tB
Ordlnary Income/Expense

lncome
40000 . FeE lncome
41500 .medlcal records
606 . Other lncome

Total lncomo

2,745,888.67
7,611.60
33.66
2,753,533.93

Gross Proflt

2,753,533.93

Erpense
08700 . Medlcal Equlpment
65100 . credenuallng
64800 . Offlce Expense

60025. Accountlng
60050. Alam
60400 .Bank Servlce Charges
61000 . Buslness Llcenses and permlts
61100 . Cable W
62300 . Gonsulting Erpense
62400 . DepreclaUon Expense
62401 . Arnortlzatlon expense
62700 . Equlpment Rental

31it3

E;tit*ffruFR:r'"'

Total 62700 . Equlpment Rental
63000 . Flllng Fee
63300 . Insurance
63310 . General Llablllty Insuranco
63340 . Buslness Ownerc Insurance
63350 . Malpracdce Ingurance
63360 . Worke/s Componsa0on tnsurance

63300.Insumnca-Other

Total 83300 . Insurance
64003 . Inlor€st Expense
64200 . Legal Expense

64226, Llnen Cleanlng Serulces

64250 . lllanagement Fees
64300 . Meals and Entertalnment
64370 . Ilfarketlng Expense
64375 . Medtcal Bllllng
64400 . Medlcal Erp€nse
64450 . Medical - Empl Healthcare Retmb
04900 . Office Supplles
64950 . Offlce Supplles - petty Cash
64900 . Office Supplles - Other

Total 64900 . Offtce Supplles
66000 . Payroll Exponses
66500 . Postage and Dellvery
66700 . Professlonal Fees
66750 . Proporty Tax

66800. Prlnttng

67100 . Rent Expense

67125, Rent - Gommon Area Malnt Charge
872AA. Repalre and Malntonance
67300 . Gleanlng Servlces
67301 . Malntenance Charge
68000 . State Fees and Dues
68100' Tolophons Expense
68175 . Transportafon

2,599.75
1,627.00
20,605..t3
6,280.00
1,684.93
2,63s.13
84,979.65
't,580.66
13,698.20
51,000.00
75,846.75
23,970.24
37,490.20
61,460.44
4,650.00
18,964.s0
3,532.83
19,359.04
3,600.29
97,390.77

142,U7.42
48,831.35
7,316.30
15,882.26
174,591.79
2,051.91
4,125.00
24.376.20
414,077.75
7,799.00
1,500.00

6,207.40
987,920.77
5,828.79
5,612.86
36,601.60
412.23
257,011.81
1,422.41

54,699.29
8,292.50
3,049.50
450.00
3,592.51

128,767.25
Page

I

t0:0f AM

Profit & Loss

01t19t17

January through December 2016

Cash BaEls

Jan - Dec 16
68300 . Tralnlng - employee
68400 . Travel Expense
68000

.Utllltles

3,479.00
2,073.69
82,331.01

Total ExpEffie

2,758,299-24

Net Ordlnary Income

{,765.31

Othor Income/Expense
Other lncome
41400 . Interest from Bank

32.07

Total Othor Income
Net Other lncome
Net lncome

4,733.24

Page 2